COREY MAMMEN – Critical Care Medicine Registered Nurse, NPI 1063003648

COREY MAMMEN is a healthcare provider. based in Portsmouth, Rhode Island. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN2329584 (MA). The NPI Number for COREY MAMMEN is 1063003648

Main info

Male
5 Years Of Experience
Name
COREY MAMMEN
NPI
1063003648
Phone
Not provided
Address
163 CEDAR AVE
Enumeration Date
27 January 2021
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522752064
Graduation Year
2021 (5 years ago)
PAC ID
1658786546
Group Practice PAC ID
2365835428
Professional Enrollment ID
I20241028003816
Address ID
RI028860185WA444XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for COREY MAMMEN

  • 163 CEDAR AVE

    PORTSMOUTH, RI 028714505

    Phone:

    Type: Mailing

  • 795 MIDDLE ST

    FALL RIVER, MA 027211733

    Phone: (508) 674-5600

    Type: Location

  • 1 KETTLE POINT AVE

    EAST PROVIDENCE, RI 029145375

    Phone: (401) 330-1400

    Type: Location

  • 62 Amaral St

    Riverside, RI 029152205

    Phone: (401) 649-4030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210301000461ICertified Registered Nurse Anesthetist (Crna)MATBD
I20241028003816ICertified Registered Nurse Anesthetist (Crna)RITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00104Anesthesia for electroshock therapy5113$0
00811Anesthesia for other procedure on large bowel using an endoscope4040$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2525$0
00910Anesthesia for other procedure on urinary system through urethra2525$0
00813Anesthesia for procedure on small and large bowel using an endoscope2424$0
View full utilization report →

Insurance plans in this area (ZIP 02871)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365835428View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

What NPI should I save for COREY MAMMEN?
Save NPI 1063003648 if you need a stable reference for COREY MAMMEN.
Is COREY MAMMEN's NPI currently valid?
The extract we use shows COREY MAMMEN as active.
What field does COREY MAMMEN work in?
You can think of COREY MAMMEN as practicing within Critical Care Medicine Registered Nurse. Clinical services aligned with this taxonomy classification.
Where does public data place COREY MAMMEN?
The snapshot lists Portsmouth, Rhode Island for COREY MAMMEN; download NPPES for the complete set.
How can I contact COREY MAMMEN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.